Transformational Coaching Application

Please allow 10-15 minutes of uninterrupted time to complete these questions.

Your Contact Info

Name
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First Name Last Name

Phone Number
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Area Code Phone Number

E-mail
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Address
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Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Your Skype Name

More About You

Whom do we have to thank for this referral?

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Month
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Day Year

Sex

Male Female

Marital Status

What is Your Occupation
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Describe what you do in your career
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Past

Celebrate - What are your biggest accomplishments in your life?
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Reflection: What is the hardest thing in life you have had to overcome?
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And, what did you learn from that experience?
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Now

What are the biggest challenges you feel are holding you back in your life?
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What would make our time together a life- or career-changing experience for you?
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What do you hope to achieve by getting coaching with Steve?
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What’s missing from your life and/or business? And how do you keep it out?
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What is your Big Talent — the thing you are best at and enjoy doing and that requires relatively little effort from you?
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The Future

The Impossible: What would you like to accomplish that looks impossible but if it were achieved would change everything?
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The Extraordinary: If you were to look back 3 years from now, and say “Hiring Steve as my coach was one of the best decisions in my life...” what has to have happened, personally and professionally, for you to feel thrilled with your progress?
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The Upper Limit: If in 3 years time you are disappointed with your results, why will that be? eg. unhealthy relationships, poor habits, limiting beliefs, fear of success.
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Yes or No?

If you can't honestly agree to all these statements, Steve will not be your best choice for coaching.

Click each to agree...
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I am willing to be coachable and take responsibility for my life and my choices. I am willing to be afraid and take action anyway. I am willing to face my darkness to find the light on the other side. I am open to honest feedback. I am open to creating change even if it is uncomfortable. I am willing to be vulnerable and open with myself and my coach.

Is there anything we forgot to ask you would like us to know?

One-on-one coaching with Steve is a minimum $10,000 investment. Is this within your budget?